Question 1

After pregnancy, my wife developed severe pain in lower bones and back. I consulted a doctor (GYN and OBS) who advised a blood check up. Blood report results show calcium 10.40 mg/dL, TSH by CLIA Serum 3.41 ?IU/mL, Free T4 Serum by CLIA 1.17 ng/dL, Free T3 Serum by CLIA 2.32 pg/mL, 25 Hydroxy (OH) Vitamin D Serum 11.66 ng/mL.

She has been prescribed T. Shelcal HD and T. Losmia 60K for 8 weeks. After taking medicine for about 4 weeks, she did not find any relief in the pain. Do I need to take a second opinion on the same or wait for more time?

One of my friends advised to ask our doctor for vitamin D3 injection, as it will be very effective. Please advise or guide me. Should I go for a second opinion or ask my doctor for vitamin D3 injection? Please suggest some D3 injections which are good to take and available in the market? Thanks in advance for your suggestions and advice.

Question 2

I got an attack of mouth ulcer 1 month ago with approximately 5 big ulcers. After 3 weeks the ulcers were gone but my stomach pain started and I had harder stool. The doctor gave me medicine but small ulcers happened again and went away. The doctor did a vitamin D test and it was very low at approximately 9.36. He gave me medicine and I am on medicine. I have little weakness and back pain so I thought to do one CBC test. Please check my report and tell me if it is normal or if there is anything to worry about? Please help.

Question 3

Hello doctor, my mother is 54 years old. She is suffering from severe pain in her whole body. Blood tests show calcium 8 and vitamin D 13. She is now unable to stand or walk. She has been prescribed Shelcal 500 mg once a day and cholecalciferol vitamin D capsule once a week. Her hemoglobin is 8. She is still not getting relief from pain and weakness in the bones. What should I do so that she can stand properly? Please help.

My blood test report shows a severe deficiency of Vitamin D3. Could you please advise which specialist I should consult for proper evaluation and treatment?

For severe D3 deficiency, see a general physician or endocrinologist. They will initiate high dose vitamin D weekly and maintenance therapy later.

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